Cautioning the FDA on “Right-to-Try” legislation. @HenryIMiller @HooverInst

Mar 25, 2017, 03:54 AM

03-24-2017 (Photo: File:UCSD Medical Center Hillcrest entrance.jpg) http://JohnBatchelorShow.com/contact http://JohnBatchelorShow.com/schedules http://johnbatchelorshow.com/blog Twitter: @BatchelorShow

Cautioning the FDA on “Right-to-Try” legislation. @HenryIMiller @HooverInst

A physician at a large health insurer, who spoke to me on the condition of anonymity, recently raised concerns about right to try. He wonders “where liability will ultimately lie when and if something goes wrong.” Even trickier: “Who is the deep pocket if and when the treatment fails and the patient’s family is looking for someone to blame?” He warns that the right to try could become an “unfunded mandate” and raises questions about who will pay for the drugs and how their prices will be determined. Medical insurance as we know it was never designed or intended to cover unproven treatments of last resort.

There is also the cost of false hopes and eventual disappointment that will accrue to most patients and their loved ones. I know how damaging this can be, physically and emotionally. When I was a medical student at the University of California, San Diego, we would often treat patients who’d visited Mexican “miracle cure” clinics that use unproven treatments to fleece desperate terminal patients. It is also important not to forget that a dying patient’s situation can become worse. Adverse reactions can make his last days or weeks far more miserable if the drug causes a stroke, anaphylactic shock, or neuralgia, among other symptoms. The right to try involves a difficult balance of competing interests, including individuals’ right to make choices based on their own judgments about risk and benefit. Society also has a role in preventing desperation-driven coercion of patients and their exposure to unacceptable risks…”

https://www.wsj.com/articles/on-right-to-try-the-fda-should-proceed-with-caution-1489445804#livefyre-toggle-SB10241920844733143401704583019141392268314